18D2121143 CLIA NUMBER - WAL-MART PHARMACY 10-0519

Laboratory Demographics

  • CLIA Code: 18D2121143
  • Facility Name: WAL-MART PHARMACY 10-0519
  • Facility Address: 591 JOSEPH DRIVE
    HARRODSBURG, KY
    ZIP 40330
  • Facility Phone: 859 734-3319
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. JENNIFER WOODWARD
  • NPI Number: 1629095948
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2121143
LAB Type Pharmacy
Facility Name WAL-MART PHARMACY 10-0519
Street 591 JOSEPH DRIVE
City HARRODSBURG
State KY
ZIP 40330
Phone 859 734-3319
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Pharmacy
Lab Director MS. JENNIFER WOODWARD

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This page was last updated on: 9/29/2025